2-diethylamino-ethyl nicotinate, para-chloro-phenoxy-isobutyric acid salt

ABSTRACT

WHICH POSSESSES IN PARTICULAR USEFUL PHARMACOLOGICAL PROPERTIES, PARTICULARLY BLOOD-LIPIDS NORMALIZING AND BLOOD-CHOLESTEROL REDUCING PROPERTIES WHICH MAKE IT THERAPEUTICALLY VALUABLE TO REDUCE THE CONCENTRATION OF CHOLESTEROL AND OTHER LIPIDS IN BLOOD SERUM. This invention relates to 2-diethylamino-ethyl nicotinate, parachloro-phenoxy-isobutyric acid salt, having the formula:

United States Patent 91 Castaigne [54] Z-DIETHYLAMINO-ETHYL NICOTINATE, PARA-CHLORO- PHENOXY-ISOBUTYRIC ACID SALT [75] Inventor: Albert R. J. Castaigne, Toulouse,

France [73] Assignee: Centre DEtudes Pour Llndustrie Pharmaceutique, Toulouse, France 22 Filed: Jan. 11,1971

211 Appl.No.: 105,625

[30] Foreign Application Priority Data 51 Feb.-20,1973

Primary ExaminerAlan L. Rotman Attorney-Young & Thompson [5 7] ABSTRACT This invention relates to 2-diethy1amino-ethyl nicotinate, para-chloro-phenoxy-isobutyric acid salt, having the formula:

UGO-4'3 O-COO- which possesses in particular useful pharmacological properties, particularly blood-lipids normalizing and blood-cholesterol reducing properties which make it therapeutically valuable to reduce the concentration of cholesterol and other lipids in blood serum.

1 Claim, No Drawings 2-DIETHYLAMlN0-ETHYL NICOTINATE, PARA- in Wistar rats, after a single administration of the active CHLORO-PHENOXY-ISOBUTYRIC ACID SALT material by gastric intubation.

As to chronic toxicity, administration of 1,200 mg/kg This invention relates to a new nicotinic acid derivaby gastric intubation during 3 months in Wistar rats tive. 5 produced no digestive, hepatic or renal functional dis- The new derivative of the invention, Z-diethylaminoorder, and no change in behavior. ethyl nicotinate, para-chloro-phenoxy-isobutyric acid With respect to subchronic toxicity, the tests carried salt, has the formula: out in rats and dogs showed the low toxicity and the '7 V" 7513? 0 E; ago-o o-coo c00CH2 cH7 (EH: EI CzHI N It possesses useful pharmacological properties, pargood tolerance of the derivative of this invention. Inticularly blood-lipids normalizing and blooddeed, throughout such tests, evidence of toxic effects cholesterol reducing properties, which make it appeared only at high dosages, far higher than the therapeutically valuable to reduce the concentration of therapeutic dosages.

cholesterol and other lipids in blood serum. The derivative is free from teratogenic effects.

The new compound of formula (I) is produced by 2. The pharmacological investigation demonstrated reacting para-chloro-phenoxy-isobutyric acid with 2- the blood-lipids normalizing and blood-cholesterol diethylamino-ethyl nicotinate. reducing effects of 2-diethyl-amino-ethyl nicotinate,

The latter compound may in turn be obtained by para-chloro-phenoxy-isobutyric acid salt. reaction of quinolinic anhydride with diethyl-amino- Experimentation was carried out on a total of 300 ethanol, followed by a decarboxylation by heating the rats given dosages varying from 20 to 200 mg/kg of the resulting diethyl-amino-ethanol monoquinolinate in derivative of this invention, by gastric intubation, said vacuo, at a temperature within the range from 120 to dosages being administered in one or two doses over a 130 C. period of time of 15 days (treated lots). These animals The following non limiting example is given to illuswere fed various hypercholesterolemic, hyperlipidic trate the process according to the invention. and hyperglycidic diets. Control determinations carried out both during experimentation (biological deter- EXAMPLE 1 minations) and after sacrificing the animals (macro- Para-chloro-phenoxy-isobutyric acid (214.5 g) di scopic and microscopic examination of various organs) solved in absolute etha l (200 m1) i dd d to a 1500 made it possible to find that all the disorders produced ml Erlenmeyer, and 2-diethyl-amino-ethyl nicotinate in the reference animals, such as aortic and pulmonary (208 g) is then added thereto. atheroma, hepatic steatosis, hepatic and cardiac The solution is slightly heated to initiate the reaction. n s s u to su s a thrombogenesis) When the ethanolic medium becomes clear, the reachypercholesterolemia, hyperlipernia, variation of the tion is completed. electrophoretic ratios, were substantially decreased in The ethanol is evaporated in vacuo,t0 give aresidue 40 the animals of the treated lots, with respect to the consisting of Z-diethyI-amino-ethyl nicotinate, paraanimals of the reference lots. chloro-phenoxy-isobutyric acid salt. The mean protection percentages were percent in This derivative is in the form of a more or less brown the lots treated with 20 mg/kg, 67 percent in the lots liquid, having an ethyl acetate odor. It is soluble in treated with 160 mg/kg and '89 percent in the lots water, alcohol, ether, chloroform. Inspection of its ab- 45 treated with 200 mg/kg, respectively. sorption spectrum under U.V. light shows that max- No modification of the intestinal transit occurred imum absorption occurs at a wavelength of 262 nm. throughout such experiments. Moreover, no sign of inlt may be assayed either by nitrogen titration of the tolerance at the level of the mucous membranes of the basic portion of the molecule by means of perchloric digestive tract could be noted. acid in the presence of a-naphthol-benzene as indica- Thus, it is apparent that the derivative of this inventor, or by titration of the acidic function by means of tion controls effectively the metabolism of cholesterol tetrabutylammonium hydroxide, in the presence of and blood lipids. It has an excellent protective action bromthymol blue. against experimental atheroma and consequent involv- The invention relates also to a therapeutic composiments, and has the added benefit of an interesting tion having in particular a blood-lipid normalizing and therapeutical margin. blood-cholesterol reducing activity, comprising 2- The composition of this invention is advantageously diethylamino-ethyl nicotinate, para-chloro-phenoxyformulated in unit dosage form for oral administration, isobutyric acid salt, together with a pharmaceutically such as capsules and drinkable ampoules, or for acceptable vehicle. parenteral administration, such as injectable ampoules. Data resulting from toxicological and pharmacologi- Each unit dose may contain, for example, 50-500 cal tests carried out with the new derivative of the inmg of active ingredient together with the usual vehicles vention are given below for illustrative purposes. 1. The and excipients suitable for the galenic form selected. toxicological investigation related to acute toxicity, In view of the low toxicity of the derivative of this inchronic toxicity, sub-chronic toxicity, delayed toxicity, vention and of its good tolerance, the daily dosage local and systemic tolerance and teratogenic effects. regimen may vary within a broad range from 0,100 to Acute toxicity is low. For example, LD /72 hrs, 2,000 g, depending on the route of administration used determined according to the method of Miller and and of the seriousness of the condition to be treated. Tainter, is 2,000 mg/kg in Swiss mice and 4,300 mg/kg The following non limiting examples are given to illustrate pharmaceutical formulations containing the composition of this invention.

EXAMPLE 2 Capsules 2-Diethyl-arninorethyl nicotinate,

The data resulting from clinical records of patients treated with the composition of this invention will be given below.

CLINICAL INVESTIGATION Due to its blood-cholesterol reducing and bloodlipids normalizing properties, and since it inhibits the release of fatty acids and has a decreasing effect on triglycerides synthesis, the composition of this invention may be used in medicine to combat efficiently atheroma and dyslipemia.

For all patients treated, a biological balance sheet was established both prior to and after treatment, said balance sheet relating to total lipid level, total cholesterol level, triglycerides level, and phospholipids level, and also to the measurements of Burstein-dextran and Kunkel-phenol flocculation tests.

Such determinations demonstrate the variations of the blood-lipids level, the increase of which characterizes the biological syndrome of dyslipemia.

CASE REPORT No.

Mr Albert D. aged 58, suffers from plethoric diabetes recognized 16 years ago, and treated with blood-sugar reducing sulfa-drugs. Is admitted to the hospital for left ventricular insufficicncy.

On clinical examination, blood pressure is 19-1 l, the heart is regular, however, under the screen, it exhibits cardiomegaly with cardiac lung. The ECG discloses a bilateral incomplete branch block. A diabetic retinopathy appears on examination of the fundus ocuii.

The patient is prescribed 3 capsules of Example 2 daily, during 45 days.

Nature of the tests Before treatment After treatment Total lipids 12.80 gll 7.90 3/] Total cholesterol 2.70 3/] 2.0 g/l Triglycerides 1.75 3/] [.15 all ,Phospholipids 3.25 g/l 1.80 g/l Burstein I86 V.U. 63 V.U. Kunkel l 19 V.U. 68 V.U.

Excellent results and tolerance.

CASE REPORT NO. 2

Mr Daniel B. aged 47, suffers from chronic cholecystitis and consults because of headaches and dizziness.

Laboratory tests show a marked increase of the lipids level. He is prescribed a treatment with the drinkable ampoules of Example 3, at a daily rate of 3, during 1 month.

On completion of the treatment, the subjective symptoms have disappeared and the balance sheet shows there is marked decrease of the abnormally high para-chloro-phenoxy-isobutyric acid salt 0,250 g Excipient, q.s. to make l capsule.

EXAMPLE 3 Drinkable solution (ampoules) Z-Diethylamino-ethyl nicotinate,

para-chloro-phenoxy-isobutyric acid salt 0.350 g Flavored excipient q.s. to make 5 ml.

EXAMPLE 4 lnjectable solution I-Diethyl-amino-ethyl nicotinate,

' para-chloro-phenoxy isobutyric acid salt 0.300 g Normal saline solution 3 ml.

blood levels, as set forth in the following table.

Nature of the tests Before treatment After treatment Total lipids 9.90 g]! 7.10 g/l Total cholesterol 3.60 g/l 2.45 g/l Triglycerides 1.30 gl 0.55 g/l Phospholipids 3.80 g/l 3.40 gll Burstein 77 V.U. 42 V.U. Kunkel 69 V.U. 37 V.U.

Excellent results and tolerance.

CASE REPORT NO. 3

Mrs Leonie S. aged 68, suffers from hypercholesterolemia already treated on various occasions, without much success, with various bloodcholcsterol reducing compounds.

She consults because of severe fatigue accompanied with headaches and dizziness.

She is prescribed a 2 month treatment with the composition of example 2, at a rate of 2 capsules daily.

' On completion of the treatment, clinical improvement is satisfactory and is confirmed by the following biological data:

Nature of the tesm Before treatment After treatment Total lipids 11.60 g/l 3.1 g/l Total cholesterol 3.40 g/l 2.3 gll Triglycerides 1.75 g/l L00 g/l Phospholipids 3.20 g1 1.80 g i Burstein 77 V.U. 39 V.U. Kunkel 71 V.U.

balance sheet is established and shows a marked improvement of the biological signs.

Nature of the tests Before treatment After treatment Total lipids l3.l g/l 8.80 g/l Total cholesterol 3.10 g/l 2.70 g/l- Triglycerides v1.90 g/l 1.20 g/l Phospholipids 3.40 g/l 3.00 gll Burstein 78 V.U. 43 V.U. Kunkel 49 V.U.

Excellent result and tolerance.

CASE REPORT NO. 5

Mr Charles R. aged 44, consults because of asthenia and frequent spells of dizziness. Laboratory tests show very substantial dyslipemia.

He is prescribed a treatment with the composition of Example 3, at a daily rate of 4 drinkable ampoules.

After one month of treatment, there is substantial decrease of the asthenia and the dizziness has disappeared. The biological balance sheet established on completion of the treatment discloses satisfactory results with respect to the lipids content.

Nature of the tests Before treatment After treatment Total lipids 19.8 g/l 9.9 g/l Total cholesterol 6.0 g/l 3.1 g/l Triglycerides 5.4 g/l 1.7 g/l Phospholipids 4.3 3/1 2.5 g/l Burstein 188 V.U. 73 V.U. Kunkel 156 V.U. 70 V.U.

Excellent results and tolerance.

CASE REPORT NO. 6

Mr Gregoire T. aged 67, suffers from arterial hypertension known since 11 years ago. He complains 15 After treatment 6.7 g/l Before treatment 9.40 gll Nature of the tests Total lipids 6 Total cholesterol 3.50 g/l 2.0 g/l Triglycerides 1.65 g/l l.l0 g/l Phospholipids 2.90 g/l 2.30 g/l Burstein 68 V.U. 33 V.U. Kunkel 62 V.U. 36 V.U.

Excellent results and tolerance.

The results obtained from the present clinical investigation show that the composition of this invention benefits from excellent clinical and biological tolerance. While substantially free from side-effects it normalizes the metabolism of the lipid and, thereby, exerts a potent preventive action against atheroma and thrombosis.

It produces an improvement of the clinical signs of atherosclerosis and an improvement of functional signs such as headaches and asthenia. It acts concomitantly on the cholesterol and lipids contents, by substantially decreasing same, and also on the other biological criteria characteristic of dyslipemia.

It may be usefully employed in the preventive and curative treatment of all atheromatous conditions, whether or not associated with clinical manifestations of vascular deficiency, of hyperlipidemia, of hypercholesterolemia and of dyslipemia.

Having now described my invention what I claim and desire to secure by Letters Patent is:

1. Z-diethylamino-ethyl nicotinate, para-chlorophenoxy-isobutyric acid salt, of the formula 

